| NPI | 1083245336 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: TX 14323) |
| Additional Taxonomies | 111NR0400X Chiropractor, Rehabilitation (Licence: TX 14323) |
| Enumeration Date | 2020-01-27 |
| Last Update Date | 2020-01-27 |